| NPI | 1912204090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL STARCK CEO 317-865-4200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2021-10-21 |